NPIMap

Individual provider Active NPI

Stephanie Walsh Roumiantseva, CRNP

  • Nurse Practitioner
  • Wilkes Barre, PA
National Provider Identifier
1003540287
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN649103 Issued in PA
Practice address
950 E Mountain Dr
Wilkes Barre, PA 18711-0028
Phone
(570) 808-5770
Fax
(570) 808-6362
NPI assigned
Jul 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN649103 PA Primary

Addresses

Primary practice location

950 E Mountain Dr
Wilkes Barre, PA 18711-0028

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 808-5770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230321000375 PA Practitioner - Nurse Practitioner 0143693549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

950 E Mountain Blvd
Wilkes Barre, PA 18702-7924
Phone (570) 808-5770

Hospital & facility affiliations

  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270
  • Regional Hospital of Scranton Hospital, Scranton, PA, CCN 390237
  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN649103PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Geisinger Clinic Family Medicine Current Accepting new patients
Geisinger Clinic Family Medicine CurrentSince Sep 22, 2025 Accepting new patients
Wayne Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Geisinger Clinic CurrentSince Sep 22, 2025 Accepting new patients
Geisinger Clinic Past Accepting new patients
Wayne Memorial Community Health Centers Family Medicine Past Accepting new patients
Barbara L Plucknett MD PC Past Accepting new patients

Locations

141 Salem Ave
#23
Carbondale, PA 18407

100 N Academy Ave
Danville, PA 17822

601 Park St
#1445
Honesdale, PA 18431
Phone (570) 253-8100

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

543 Easton Tpke
Ste 105
Lake Ariel, PA 18436
Phone (570) 689-4670

1400 Main St
Peckville, PA 18452
Phone (570) 307-7600

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

231 Northern Blvd
South Abington Township, PA 18411
Phone (570) 585-8085

231 Northern Blvd
Ste 1
South Abington Township, PA 18411
Phone (570) 344-9997

132 Manly Rd
Tafton, PA 18464
Phone (570) 226-2151

950 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 808-3290

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 32

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 32

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1003540287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-808-5770",
            "fax_number": "570-808-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E MOUNTAIN DR",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187110028",
            "telephone_number": "570-808-5770",
            "fax_number": "570-808-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUMIANTSEVA",
        "first_name": "STEPHANIE",
        "middle_name": "WALSH",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "RN649103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.